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本文收集自1979～1982年间13例患者,分别采用不同类型的头颈部组织瓣,一次手术修复口腔粘膜或颌面部软组织缺损。其基本情况如下:①,应用舌蒂瓣分别修复颊、口底和下唇粘膜缺损6例;②,应用腭粘膜瓣分别修复磨牙后区、舌腭弓区以及后位颊部的粘膜缺损3例;③应用颈部或颈胸皮瓣分别修复下颌面部,腮腺区颊部以及下唇颏部的组织缺损3例;④,应用颊部全厚软组织瓣重建下唇1例。上述13例患者,除1例由皮瓣缝合后张力较大而延期愈合外,其他12例均获一期愈合。术后效果亦比较满意。
This article collected 13 patients from 1979 to 1982, respectively, using different types of head and neck tissue flap, a surgical repair of oral mucosa or maxillofacial soft tissue defects. The basic situation is as follows: ①, the use of the tongue flap to repair the buccal, mouth bottom and lower lip mucosal defects in 6 cases; ②, the application of palatal mucosal flap were repaired respectively, the posterior parietal area, lingual palatal arch area and posterior cheek mucosa defects 3 Cases; ③ neck or neck flap were used to repair the mandibular facial, parotid cheek and chin of the lower lip tissue defects in 3 cases; ④, the application of cheek full thickness soft tissue flap reconstruction of the lower lip in 1 case. The above-mentioned 13 patients, except for one case of delayed tension after suture the flap was sutured, the other 12 cases were cured. Postoperative effect is also more satisfactory.